Percepção da satisfação da mulher no trabalho de parto e parto e fatores associados

Abstract

Women's satisfaction with labor and childbirth is a quality indicator of obstetric care that can guide strategies to promote a positive birth experience. OBJECTIVE: To analyze women's satisfaction with labor and childbirth in a public hospital and maternity unit in the Central-West region of Brazil. METHODOLOGY: This is a cross-sectional and analytical study with postpartum women attended in the rooming-in unit. A structured sociodemographic and obstetric/neonatal questionnaire and the Mackey Childbirth Satisfaction Rating Scale were applied. Descriptive and inferential statistical analysis of the data was performed using the Kruskal-Wallis, Mann-Whitney U tests, and Spearman correlations. RESULTS: Among 303 postpartum women, the majority were mixed-race/Black, had eight or more years of education, lived with a partner, had an income of up to two minimum wages, resided in Goiânia or the metropolitan area, were in the low-risk reproductive phase, were multiparous, attended six or more prenatal visits, had a normal delivery of a term female newborn with a satisfactory APGAR score (1st and 5th minutes) in the Birth Center, assisted by an obstetric nurse, and were transferred to the rooming-in unit. The widely promoted good practices included the presence of a companion, skin-toskin contact, and breastfeeding within the first hour of life. Most postpartum women reported high satisfaction in all six domains of the scale and described their experience as expected and positive. Factors associated with childbirth satisfaction included previous childbirth experience, normal delivery at the Birth Center assisted by an obstetric nurse, higher family income, full-term pregnancy, the development of a birth plan, and breastfeeding within the first hour of life. There was a strong correlation between the total score and the domains of self-assessment (r=0.730) and general (r=0.621) satisfaction. CONCLUSION: Broad access to good practices during labor, childbirth, and birth contributed to a high perception of satisfaction and a positive childbirth experience for most postpartum women.